Comparing Surgical Techniques In Hip Resurfacing

Adequate surgical exposure of the hip is important for correct positioning of the hip resurfacing components. In this chapter several possible approaches are discussed. The posterior approach is known to yield the best exposure to the hip. The modified posterior approach ensures soft tissue preservation to protect the vascularisation of the femoral head and correct application of cement, avoiding thermal damage to the bone. The modified lateral approach, trochanteric flip approach and (Hueter) anterior approach are used by some surgeons to preserve the femoral circumflex arteries and thus avoid avascular necrosis of the femoral head.